Phoenix Service Corporation
LBN: Phoenix Service Corporation
Phoenix Service Corporation is an health care organization with primary practice located at 330 Marie Ave E , West St Paul MN 55118-4011. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Case Management is the primary health care specialty.
Phoenix Service Corporation can be contacted via phone (651) 227-7655, or through Scott, Darlene M via phone (651) 227-7655.
Contact Information
Primary practice address
330 Marie Ave E
West St Paul MN 55118-4011
Phone: (651) 227-7655
Fax: (651) 227-6847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | 1069741-1-HCBS | Minnesota |
| Agencies / Nursing Care | 251J00000X | Minnesota | |
| Agencies / Community/Behavioral Health | 251S00000X | 1069741-1-HCBS | Minnesota |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 1014199-1-WS | Minnesota |
Profile Details
| NPI number | 1881645067 |
|---|---|
| LBN Legal business name | Phoenix Service Corporation |
| DBA Doing business as | |
| Authorized official | Scott, Darlene M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Jul 17th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881645067 | NPPES |
| Minnesota | MEDICAID | 596555100 |
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